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Freakonomics, M.D.

69. Home Sweet … Hospital?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 20 January 2023

⏱️ 27 minutes

🧾️ Download transcript

Summary

We take it for granted that, when people are acutely ill, they should be in the hospital. Is there a better way?

Transcript

Click on a timestamp to play from that location

0:00.0

About one in ten people that walk into an American hospital will have something wronged

0:11.2

happened to them because of the medical care delivered.

0:14.0

That's crazy.

0:15.0

We would never walk onto an airplane if one in ten times something wrong was going to

0:19.5

happen, but we walk into hospitals all the time.

0:21.9

Dr. David Levine knows a lot about hospitals.

0:25.6

We have the most advanced hospital care in the world.

0:28.5

We have an enormous number of hospital beds.

0:31.0

We have incredible technology and incredible people in those hospitals.

0:35.7

Unfortunately, we haven't built the right systems and we have created a place that is often

0:41.5

unsafe and causes harm to folks.

0:43.8

David is a primary care physician at Brigham and Women's Hospital in Boston.

0:48.6

And he's right, hospitals aren't always the safest place to be.

0:53.0

For starters, there's the risk of infection.

0:55.6

According to a 2018 study at any given time, one out of every 31 patients in a US hospital

1:03.0

had an infection that they picked up during their stay.

1:06.8

And that was before the COVID-19 pandemic.

1:10.0

Hospitals do a lot of good for people, but they're also a place where medical errors occur.

1:15.5

In the US, these errors cause around 100,000 deaths per year.

1:20.7

A study published just last week by today's guest, David Levine and others found that

1:25.7

a quarter of hospitalizations in the state of Massachusetts involve an adverse event.

1:31.7

And that a quarter of those adverse events are preventable.

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